Individual
MRS. LUANNE MARIE DIKANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5754
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5754
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
92622-030
WI
363L00000X
Nurse Practitioner
Primary
1162
WI
Other
Enumeration date
04/06/2009
Last updated
04/11/2018
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